Client Questionnaire
De La Cruz Coaching
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Primary goal
lose fat
build muscle
general health & lifestyle
What coaching style gets the best out of you?
Supportive and encouraging — I respond best to positive reinforcement and regular check-ins
Balanced — encouragement when I've earned it, a push when I'm slacking
Direct and no-nonsense — hold me accountable and don't sugarcoat it
Hands-off — give me the plan and let me run with it, check in when needed
Experience level
new (under 1yr)
some (1-3yrs)
experienced (3+ yrs)
Biggest obstacle so far?
How did you hear about me?
Submit
Should be Empty: